On Saturday November 10th, 36 Physical Therapists, Personal Trainers, Strength & Conditioning Coaches, and DPT Students from seven states joined the R2P staff at our Germantown location for a full day seminar as we revealed our HOW and WHY in guiding patients from Rehab 2 Performance!
Continuing Education Units/Hours were earned and approved through ACSM, APTA, NASM and NSCA
Our goal of the course was for attendees to be able to demonstrate improved clinical decision making for return to sport (activity), better understand the utilization of phases for return to sport, recognize specific performance criterion, and gain competency in their ability to perform and coach important movements for the rehabilitation process.
When you attend a continuing education course, you should experience some version of General Adaptation Syndrome. Before we begin today, ask yourself, “Am I willing to shock my system?” - Dr. Funk
Two case studies, involving labs discussed the reasoning and rationale of each phase, key performance indicators and exit criteria, much like a school curriculum. The working labs provided an insight into the bio-motor and locomotive continuum for athletic preparedness and readiness with an emphasis on criteria-based progressions.
Dr. Jarred Boyd and Dr. Anthony Iannarino started the morning off exploring the foundational principles of the Rehab 2 Perform process to allow for the formation of reproducible procedures and individualized plans. This section illustrated the “blueprint” from which rehab 2 Perform therapists use to progress patients to optimal performance.
Jarred and Anthony emphasized how respecting foundational knowledge and creating a systematic approach can help the clinician to:
- Ask better questions
- Assess the quality of interventions
- Increase consistency of results
- Increase confidence in the long term success of the patient
Blueprints allow you deal with the complex and unpredictable reality of working with human beings, they help to protect from cognitive bias and emotion. They are shown to help improve the accuracy of decision making.
As we come to terms with our lack of certainty we realize that managing in complex systems is more about influencing possibilities rather than trying to determine any predictability. Blueprints help provide boundaries to view dynamic changes and help us stay focused on controlling our controllables.
-Dr. Anthony Iannarino
Dr. Zach Baker and Dr. Jamie Wood provided a framework for ACL Rehab Progressions and Return To Sport Clearance Testing. The presentation was divided into a lecture and lab portion. The lecture covered ACL post-op recovery timelines, introduction of a phase based rehab program, and developing checkpoints to utilize and ensure proper progressions into and out of each portion of the rehab timeline. Broken down into monthly intervals with measurable checkpoints for each stage, these benchmarks gave insight into Rehab 2 Perform’s full return to sport battery of tests for post-operative patients.
Dr. Josh Funk and Dr. Caleb Fatzinger gave the final presentation of the day covering case study which gave an in-depth view of a comprehensive tendinopathy rehab plan. They started with a background and case that presented an active adult presenting with a proximal hamstring tendinopathy who’s goal was to return to running. The lecture portion included current research and approaches in managing and treating tendinopathy with progressive loading.
Caleb and Josh continued with how to structure, implement, and progress a rehab plan with therapeutic exercise and activities. They further discussed progressions and protocols for returning to running and recreational activity with testing and objective checkmarks on the way. They finished with a lab component which included demos and break outs covering, movement prep, dynamic warm ups, tendon loading progressions, therapeutic exercise progressions, running drills, and much more.
“Our goal is to create a progressive protocol for a pathology that is often treated passively and without a linear plan of care” - Dr. Caleb Fatzinger